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Home My WebLink About1145 CARLSBAD VILLAGE DR; ; CB081093; Permit08-01-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Commercial/Industrial Permit Permit No Building Inspection Request Line (760) 602-2725 CB081093 Job Address Permit Type Parcel No Valuation Occupancy Group Project Title Applicant 1145 CARLSBAD VILLAGE DR CBAD Tl Sub Type COMM 1561802600 Lot# 0 Status $15,00000 Construction Type NEW Applied Reference # Entered By SHELL SERVICE STATION-INSTALL Plan Approved NEW HEALY SYSTEM CLEAN AIR SEPARATOR & ABOVE GROUND Issued Inspect Area Plan Check* Owner ISSUED 06/10/2008 RMA 08/01/2008 08/01/2008 FUELING & SERVICE TECHNOLOGIES ZANDER ARDIS STED 7050 VILLAGE DR 90621 714523-0194 P 0 BOX 222 NACOAZ 85620 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Plan Check Discount Strong Motion Fee Park Fee LFM Fee Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'l Renewal Fee Other Building Fee Pot Water Con Fee Meter Size Add'l Pot Water Con Fee Reel Water Con Fee $15075 Meter Size $0 00 Add'l Reel Water Con Fee $97 99 Meter Fee $0 00 SDCWA Fee $0 00 CFD Payoff Fee $315 PFF (3105540) $0 00 PFF (4305540) $000 License Tax (3104193) $0 00 License Tax (4304193) $0 00 Traffic Impact Fee (3105541) $000 Traffic Impact Fee (4305541) $0 00 PLUMBING TOTAL $0 00 ELECTRICAL TOTAL $0 00 MECHANICAL TOTAL $0 00 Master Drainage Fee Sewer Fee $0 00 Redev Parking Fee $0 00 Additional Fees HMP Fee TOTAL PERMIT FEES $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $2000 $000 $000 $000 $000 $000 99 $271 89 Total Fees $271 89 Total Payments To Date $271 89 Balance Due $000 Inspector Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, reservations, at other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other requirec information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations las previously otherwise expired City of Carlsbad 1635 Faraday Ave , Carlsbad CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 Building Permit Application Plan Check No. Est. Value Plan Ck. Deposit Date fe/lof JOB ADDRESS \ \ ArL f \ \ ( \l \\ ~\ ll'lj C_ C\N( lg p>q4 V< \U^C- O'T- CT/PROJECT # LOT # 1 PHASE » 1 H OF UNITS 1 (f BEDROOMS DESCRIPTION OF WORK . . HS-r-q 11 laeW Heqly Sis-f^i\ EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Font Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME . \ T'CSofZ.o So^T^ Ct>aSt- CownpnHf LLG ADDRESS 1 3^{5<S jp ^S^f^-J-li lM*v S<-"4<r 2o| CITY ,1 . STATE ZIP A^D-JV-VV W rr TSeo( -SIS.! PHONE FAX 2-S"3- gTfc-S^oo EMAIL ARCH/DESIGNER NAME & ADDRESS / 1 STATE LIC * SUITE#/SPACE#/LHj|T# 1 APN » BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP L J 1C <?4"\ c^iX"" seP^fc} --or c\ fc>0^e— =\-\Q^\AQ- -j-qqK^.1 ... g PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES D # NO D YES D NO D YES D NO D APPLICANT NAME yii 1 /- 1 1 ADDRESS . 1 A ,1 20^ VAJ. ^Ictuviecll /\v;tr ^F 2o3 CITY .-j . STATE ZIP PHONE FAX EMAIL 1 | /I CONTRACTOR BUS NAME / , I III \FASrecH v. Fueling cmd sluice -fccUviolo^ .'es »MC 1 ADDRESS ^^ . 1 >s CITY _ STATE ZIP PHONE FAX }-l4 '~>'i.'S> Ol f ^ EMAIL /I /STATE LIC # CLASS CIW BUS Llffl# [ 1 tt•*<\4<*i<\ *,ci\\m WufiV Jkr_ — i : — 4 — — li/tA^ A [Sec 7031S Business and Profession! Code Any City or County which requires a permit to construct, liter, improve demolish or repair any structure, pnor to IB issuance, also requires the applicant for such permit to (¥ ITsigned statement that he islicensed pursuant to the provisions of the Contractors License Law {Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code) or that he tt eumpt therefrom, and the basis for the flexed exemption Arty violation oliection 7031J by any applicant for a permit subjects the applicant to a cr.il penalty of not more than five hundred dollars {$500}). BC 0,M SENSATION Workers' Compensation Declaration I hereby affirm under penalty ol perjury one of the following declarations Sjjjave and will maintain a certificate of consent to self-Insure for workers compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued [3 I have and will maintain workers' compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My workers compensation insurance carrier and policy number are Insurance Co Suifn/ttnG/rVtS Honyoe Policy No w££> gOOO 2^1 Expiration Date -4/1 /?egl f This section need not be completed if the permit is for one hundred dollars ($100) or less L*3 Certificate of Exemption I certify that m the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (4100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and ajttoijney's fees J&Z CONTRACTOR SIGNATURE code, interest and attojney's fees / . /U<TK-| 1£^*~', t", °ATE 6|tO(08 / hereby affirm that I am exempt from Contractor s License Law lor the following reason C1 I as owner of the property or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sale (Sec 7044 Business and Professions Code The Contractors License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees provided that such improvements are not intended or offered for sale If however the building or improvement is sold within one year of completion the owner builder will have the burden of proving that he did not build or improve for the purpose of sale) D I as owner of the property am exclusively contracting with licensed contractors to construct the proiect (Sec 7044 Business and Professions Code The Contractor s License Law does not apply to an owner of property who builds or improves thereon and contracts for such projects with contractor(s) licensed pursuant to the Contractor s License Law) D I am exempt under Section ...Business and Professions Code for this reason 1 I personally plan to provide Ine major labor and materials for construction of the proposed property improvement D Yes Cl No 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors license number) 4 I plan to provide portions of the work, but I have hired the following person to coordinate supervise and provide the major work (include name / address / phone / contractors license number) 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work) ^"PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act9 O Yes O No ^^-> Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Hres D No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 O-Yes O No IF ANY OF THE ANSWERS ARE YES, / EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT L E NO IN GAG E N c v I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender s Name Lender's Address Xi&tt TIP I C AT I O N I certify that I have read the application and state that the above information Is correct and that the information on the plans is accurate I agree to comply with all City ordinances and Slate laws relating to building construction thereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSH A An OSHA permit is required for excavations over 5'G" deep and demolition or construction of structures over 3 stones m height EXPIRATION Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days frtxri the date of such p«nrt or if the buWir^ or vvorkaulhtxized by such permit is sus ^APPLICANT'S SIGNATURE DATE City of Carlsbad Final Building Inspection Dept Building Engineering Planning CMWD St Lite 9Ptrj[7 Plan Check # Permit # Project Name Address Contact Person Sewer Dist Inspected By .Jf, Inspected Bv Inspected By Date 05/26/2009 CB081093 Permit Type Tl SHELL SERVICE STATION-INSTALL Sub Type COMM NEW HEALY SYSTEM CLEAN AIR SEPARATOR & ABOV 1145 CARLSBAD VILLAGE DR Lot 0 Phone CA Water Dist CA /? Date ;0Ay/)5f ^^^^ £-4f*fy^J Inspected fc'iVis Approved Disapproved " Date Inspected Approved Disapproved Date Inspected Approved Disapproved Comments City of Carlsbad Bldg Inspection Request For 05/21/2009 Permit* CB081093 Title SHELL SERVICE STATION-INSTALL Inspector Assignment Description NEW HEALY SYSTEM CLEAN AIR SEPARATOR & ABOVE GROUND TANK 1145 CARLSBAD VILLAGE DR Lot 0 Type Tl Sub Type COMM Job Address Suite Location OWNER ZANDER ARDIS Owner SHICK FAMILY TRUST 09-09-93 Remarks HEALY CLEAN AIR SEPERATOR Phone 7143193769 Inspector Total Time Notice Requested By JAMES Entered By CHRISTINE CD Description 44 Rough/Ducts/Dampers Comments Comments/Notices/Holds FIRE DEPARTMENT Inspections required Underground piping pre-bunal and Final Inspection Date 09/26/2008 09/26/2008 Associated PCRs/CVs Original PC# CLOSED VIOLATION/CONDITIONAL USE PRMT, WRONG COLORS ON FACADE 2 BANNERS ON HAND RAILINGS, 2 BANNERS Z- BANNER ON RAILING, Z- BANNERS & PENNANTS, O-EXPIRED BIZ I.IC, SHELL CHANGE IN PAD TOR IIBALY, TANK Inspection History Description Act Insp Comments CV010181 CV020470 CLOSED CV030536 CLOSED CV040491 CLOSED CV040768 CLOSED PCR08100 PENDING 11 Ftg/Foundation/Piers 12 Steel/Bond Beam AP PC AP PC Carlsbad 08-1O93 7/21/O8 EsGil Corporation In (Partnership with government for (Buihfmg Safety DATE 7/21/08 OJgEIJCANT JURISDICTION Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO O8-1O93 SET III PROJECT ADDRESS 1 145 Calsbad Village Dr. PROJECT NAME Tesero/ Shell, Healy Vapor/Clean Air Recovery System & Enclosure The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes XI The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck The REMARKS check list below is transmitted herewith for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person The applicant's copy of the check list has been sent to XI Esgil Corporation staff did not advise the applicant that the plan check has been completed Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Telephone # Date contacted (by ) \fl / Fax # XI REMARKS City Fire Marshall vfflpz approve the location of the clean air separator tank for compliance with the Calif Fi By Chuck Mendenhall Enclosures Esgil Corporation D GA D MB D EJ D PC 7/14/08 EsGil Corporation In (Partnership -with (government for (Building Safety DATE 7/2/08 JURISDICTION Carlsbad a PLAN REVIEWER a FILE PLAN CHECK NO 08-1093 SET II PROJECT ADDRESS 1145 Carlsbad Village Dr. PROJECT NAME Tesero/Shell, Healy Vapor/Clean Air Recovery System & Enclosure The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck The REMARKS check list below is transmitted herewith for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck Submit responses with design calc's and 2 revised plans directly to City for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person XI The applicant's copy of the check list has been sent to Ahmad Ghaden FAX Esgil Corporation staff did not advise the applicant that the plan check has been completed Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Ahmad Ghaderi Telephone # (818) 842-3644 Date contacted *7ft'0'(tyjfy Fax # (818)842-3760 REMARKS List B. City Fire Marshall must approve the location of the clean air separator tank for compliance with the Calif Fire Code This must be completed prior to permit issuance C Provide structural design justification for the construction of the 1 1 'high screen wall enclosure surrounding the Healy tank See sheet E1 of the plans Design was provided. The following applies (a). Provide full size sheet E1 the 11"X17" is not completely legible (b) the revised plan sheet E1 now shows 3 foundation options. If you choose to use the prefab, concrete slab, option #2 & #3, provide ICC approval number for the prefab component. Options #2 & 33 are not consistent with sheet D1 By Chuck Mendenhall Enclosures Esgil Corporationn GA n MB n EJ n PC 6/26/08 EsGil Corporation In (Partnership with government for (BuiCding Safety DATE 6/19/O8 _ JURISDICTION Carlsbad a PLAN REVIEWERa FILE PLAN CHECK NO 08-1093 SET I PROJECT ADDRESS 1 145 Calsbad Village Dr. PROJECT NAME Tesero/Shell, Healy Vapor/Clean Air Recovery System & Enclosure The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck /(] The REMARKS check list below is transmitted herewith for your information The plans are being held at Esgil Corporation until corrected plans are submitted for recheck Submit responses with design calc's and 2 revised plans directly to City for recheck The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person The applicant's copy of the check list has been sent to Ahmad Ghaden Esgil Corporation staff did not advise the applicant that the plan check has been completed Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Ahmad Ghaden Telephone # (818) 842-3644 Date contacted ^A ^' MbyJ^ Fax # (818) 842-3760^ REMARKS List A Note on the plans that the plans comply with the 2007 CBC, CPC, CEC and CFC B. City Fire Marshall must approve the location of the clean air separator tank for compliance with the Calif Fire Code C. Provide structural design justification for the construction of the 11 'high screen wall enclosure surrounding the Healy tank See sheet E1 of the plans By Chuck Mendenhall Enclosures Esgil Corporation D GA D MB D EJ D PC 6/12/08 9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 * (858)560-1468 + Fax (858) 560-1576 Carlsbad O8-1O93 6/19/08 VALUATION AND PLAN CHECK FEE JURISDICTION Carlsbad PLAN CHECK NO 08-1093 PREPARED BY Chuck Mendenhall DATE 6/19/08 BUILDING ADDRESS 1145 Calsbad Village Dr. BUILDING OCCUPANCY B TYPE OF CONSTRUCTION BUILDING PORTION vapor rec tank & Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code Rlrin Pprmil- FPP hu OrHma AREA (Sq Ft) enclosure OS nrp ' •W Valuation Multiplier City Est 91 Reg Mod VALUE ($) 15,000 15,000 £4 CO f\f\ I$1o2 00 1 Plan Check Fee by Ordinance Type of Review C] Repetitive Fee....^ Repeats $16331 Complete Review D Other ,—I Hourly Structural Only Hours * Esgil Plan Review Fee $13065 Comments Sheet 1 of 1 macvalue doc Carlsbad 08-1093 6/19/08 VALUATION AND PLAN CHECK FEE (Revised 6/24/08) JURISDICTION Carlsbad PLAN CHECK NO O8-1O93 PREPARED BY Chuck Mendenhall DATE 6/19/08 BUILDING ADDRESS 1145 Calsbad Village Dr. BUILDING OCCUPANCY B TYPE OF CONSTRUCTION BUILDING PORTION AREA (Sq Ft) vapor rec tank & enclosure Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb Valuation Multiplier CityEst By Ordinance Reg Mod VALUE ($) 15,000 15,000 Bldg Permit Fee by Ordinance gr. Plan Check Fee by Ordinance JLJ Type of Review P Complete Review Structural Only f~ Repetitive Fee I g Repeats Comments C Other .- Hourly Esgil Plan Review Fee f r Hours $150 75] $9799 $84 42 Sheet 1 of 1 macvalue doc •tt 3353 SAN DIEGO REGIONAL W\/lO -Sto^fc HAZARDOUS MATERIALS QUESTIONNAIRE OFFICE USE ONLY UPFP# BP DATE / 2.2. / Business Name Business Contact Telephone # =roject Address 1\4-S City State Zip Code APN# Mailing Address City IMA. State Zip Code Plan File* =>roject Contact Telephone # The following questions represent the facility's activities, NOT the specific project description. 'ART I RRE DEPARTMENT - HAZARDOUS MATERIALS DIVISION- OCCUPANCY CLASSIFICATION Indicate by circling the item, whether your justness will use, process, or store any of the following hazardous matenals If any of the items are circled, applicant must contact the Fire Protection Agency vith jurisdiction prior to plan submittal I Explosive or Blasting Agents > Compressed Gases ) Flammable/Combustible Liquids I Flammable Solids 5 Organic Peroxides 6 Oxidizers 7 Pyrophoncs 8 Unstable Reactives 9 Water Reactives 10 Cryogenics 11 Highly Toxic or Toxic Matenals 12 Radioactives 13 Corrosives 14 Other Health Hazards 15 None of These JART II SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH - HAZARDOUS MATERIALS DIVISIONS (HMD) If the answer to any of th> questions is yes, applicant must contact the County of San Diego Hazardous Matenals Division, 1255 Imperial Avenue, 3ra floor, San Diego, CA 92101 2all (619) 338-2222 prior to the issuance of a building permit rEES ARE REQUIRED Expected-datgoi•Q^cuparicv-n' if*/ / YE V? £3 s^Jsr Is your business listed on the reverse side of this form? "!\C&i JJ3s> Will your business dispose of Hazardous Substances or Medical Waste in any amount* r U sQ Wilt your business store or handle Hazardous Substances in quantities equal to or D 55 gallons, 500 pounds, 200 cubic feet, or carcinogens/reproductive toxins in any quantify? Will your business use an existing or install an underground storage tank?'} Will your business store or handle Regulated Substances (CalARP)* | fiJiliK Will your business use or install a Hazardous Waste Tank System (Title 22, Article 10)7 ll i** A (CfUl D CalARP Exempt D CalARP Required D CalARP Complete Date Initials 'ART III- San Pleao County Air Pollution Control District- If the answer to any of the questiohs'below is yes, applicant must contact the Air Pollution Centre )istnct (APCD), 9150 Chesapeake Drive, San Diego, CA 92123, telephone (858) 650-4550 prior to the issuance of a building or demolition permit Note if the mswer to questions 3 or 4 is yes, applicant must also submit an asbestos notification form to the APCD at least 10 working days prior to commencing demohtior »r renovation, except demolition or renovation of residential structures of four units or less Contact the APCD for more information YES.NO D D J2C D D Will the subject facility or construction activities include operations or equipment that emit or are capable of emitting an air contaminant? (Set the APCD fact sheet at htto //www sdaocd oro/info/facts/permits pdf. and the list of typical equipment requiring an APCD permit on the reverse side of this form Contact APCD if you have any questions ) (ANSWER ONLY IF QUESTION 1 IS YES) Will the subject facility be located within 1 ,000 feet of the outer boundary of a school (K through 1 2)1 (Public and pnvate schools may be found after search of the California School Directory at htto //www cde ca oov/re/soV. or contact the appropriate school district) iU there be renovation that involves handling of any friable asbestos material, or disturbing any material that contains non-friable asbestos'' there be demolition involving the removal of a load supporting structural member? __ inefly descnbe business activities Briefly descnbe proposed project declare underjjenalty of perjury that to the best of my knowledge and belief the responses made herein x-Slgna'ture of Owner or Autrjonzed Agentlame of owner or Authorized Agent i /n /oe> Date OR OFFICIAL USE ONLY IRE DEPARTMENT OCCUPANCY CLASSIFICATION. Y / DATE EXEMPT OR NO FURTHER INFORMATION REQUIRED COUNTY-HMD APCD RELEASED FOR BUILDING PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY COUNTY-HMD APCD 'EH HM-9171(07/04)County of San Diego - DEH - Hazardous Materials Division PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB081093 DATE 6/12/08 ADDRESS 1145 CARLSBAD VILLAGE DR RESIDENTIAL ADDITION- POOL/SPA MINOR (< 17,000.00) TENANT IMPROVEMENT RETAINING WALL COMPLETE OFFICE BUILDING VILLAGE FADRE OTHER HEALY TANK PLANNER GINA RUIZC^/ DATE 6/12/08 ENGINEER /i^^7 DATE Carlsbad Fire Department BUlLDIMG COPY Plan Review Requirements Category TI, COMM Date of Report 06-27-2008 Reviewed by Name FUELING & SERVICE TECHNOLOGIES Address STED 7050 VILLAGE DR BUENAPARK CA 90621 Permit # CB081093 Job Name SHELL SERVICE STATION-INSTALL Job Address 1145 CARLSBAD VILLAGE DR CBAD I^^ggg&nMftMffhe item you have submitted for review is incomplete At this time, this office cannot adequatelyconaucnrreview to determine compliance with the applicable codes and/or standards Please review carefully all comments attached Please resubmit the necessary plans and/or specifications, with changes "clouded", to this office for review and approval Conditions; Cond CON0002886 [MET] THIS PROJECT HAS BEEN REVIEWED AND APPROVED FOR THE PURPOSES OF ISSUANCE OF BUILDING PERMIT THIS APPROVAL IS SUBJECT TO FIELD INSPECTION AND REQUIRED TEST, NOTATIONS HEREON, CONDITIONS IN CORRESPONDENCE AND CONPORMANCE WITH ALL APPLICABLE REGULATIONS THIS APPROVAL SHALL NOT BE HELD TO PERMIT OR APPROVE THE VIOLATION OF ANY LAW Entry 06/27/2008 By GR Action AP Underground process piping inspection and final inspection required COVER SHEET CALCULATIONS t FRANKLIN HEALY FUELING SYSTEMS CLEAN AIR SEPARATOR CONCRETE FOUNDATION CONTENTS: 1. Calculation sheet 2. Franklin Fueling Dwg. 9900-9945 Mounting Slab Details 3. ICC Evaluation Report ESR-1385 Issued 9/1/04 on Hilti Kwfk Bolt 3 Concrete and Masonry Anchors Pages 1-4 - V i &*; 1 it 551 >! 2-2 ~ •^ — * ~^_ llco| 1ii ^^ ^^^ 5 __ • « T» 31" ^B"j( 45>' --a VI >' ,: \g 1 / cr 5 0 2 — *» TV 1 5) el » sriS t> A A"eoud : ASCE 7-05IfeC zooc. C6C 38 &>.( F * b«.fj c\«^ TZ 56" So,) -. 21 ,„*> FS - ?. fioc, p. \°-- MZ6! 4 100 Son- 6£Aft\10C; 52°! A 35,176 >: 35776, n.i/' ,. *"-•, , .:^ / /• V- ^i ^/.^l ' ""<U> - \ '•^v^^WV.^X c CAS-v SEISMIC (5.7 fi>-t ho = D l\,M.H $ELS^\C 17 7,7 1 7 , & (\\.M- Iht*«v«ft/6h \\.M-l \\.4-Z ^ &OO 0 A r. c c (^R c. C K *1>U \ € c W- Vu- loo"1-- ia,000 l-i V.'. "I* .00 c, '0.85 c<:.5.8.n Cf -b- - 31,D Cf- 0. u sN,/•*'*» • -• •* ';^~^ e& sfitytt ..'/ -X v^l'- ' / CWsV^X VAPOR RECOVERY CERTIFICATION CLEAN AIR SEPARATOR SYSTEM (EVR COMPLAINT) UOTtt - tinfe System he. 17 HmpNr* OrNt, Hotan, Mm Htfnpritbi 03061 taftty.gtlrt^«yvi^ The cyulim oontalrunomo^ a ijoton in accomiinoewfft NFPAIOA, Ctaptar 10. -WMtdMgwd towrtwlh • Huly%«Km, tn^Miiitvipor volume rata tihfe l^ 0PM *^ vrtttM, to may h»« ptrtafie ^HMte «f won >TTwt^inMUlonlidaMinaooatdv» ^Thttafirtrk it«i>(^iu'fi(a^y^ n^ STA1 California State Fire Marshal CODE INTERPRETATION Date issued Topic Code Section(s) Requested by 9/01/2005 Interpretation #05-019 Healy Phase II enhanced vapor recovery system 2001 CFC Section 223 Tom Waller Fire Marshal Oxnard Fire Dept. 251 South C St. Oxnard CA.93030 / am requesting an Interpretation of the California Fire Code with respect to the Healy Phase II Enhanced Vapor Recovery System. The Healy Phase II EVR Includes a vapor processor, also known as a Clean Mr Separator (CAS). The CAS Is 400-gallon capacity vessel that will contain gasoline and gasoline vapors during operation. The CAS has come Into question as to whether It will be regulated as an above ground storage tank (AST). My request for clarification/Interpretation Includes the following: 1. Is the Clean Air Separator an aboveground storage tank In accordance with the California Fire Code? No. 2. If the Clean Air Separator Is not an aboveground storage tank, what Is tt? There is no dear definition in the CFC however, U.L. has certified the unit as a "Vapor Processing System." 3. If you call the CAS a vapor processor, or a processing vessel, what Is the CFC definition of a vapor processor? Processing vessel? CFC Article 2, Section 223 best defines these as a "vapor processing unif. 05-019 Waller Page Two 4. What an the Installation requirements for secondary containment, vehicle crash protection and labeling?< There are no requirements for secondary containment However, protection against physical damage snail be provided in accordance with Article 52, California Fire Code, Section 5202.13.3.12. 5. Does draining of the bladder and/or tank (CAS) (see Heafy Operating Instructions) amount to dispensing as defined In the CFC? No. Footnote- TtM intent of this footnote Is for reference only end to provide clarification H Is not the Intent of the State Fire Marshal to endorse any one specific product device or methodology. Description of Operation of the Heaty Clean Air Separator"1;The HeaJy Systems, Inc. Modal 9961 Healy dean Air Separator1" to a stand-atone, compMary mechanical device that assists m controffing the gasoBne vapor emissions from a oasoNne tfspenalngfacaity.lt consists of a 400^aBon storage vassal with integral Madder and associated vaMng. It tecowiected to the ulagesoace of the ODF storage tanks vta the venting system of the under ground storage tanks. Di^ixxmatooefBtton of trie GDF.wimtoclays concentration of ORVR vehicles approximating 20%. the storage tank uB*0e space v^usuatyooerate In the V to negative (up to TWC P/V cracking pressure) pressure range. During" ctoswT periods of ttwODF, the uBage pressure wBusuaBy begin to Increase due to vapor growth Inherent In the process of Introducing «JrSntott»USTs. If the pressure goes slightly above atmospheric the vapor from (he USTswWflow Into the internal bladder Conversely, when ORVRrefueing begins and the UST pressure falls betow atmospheric, (he vapor Internal to the Wadoarwffl be drawn oacfc Into ttoUSTuntH the bladder is fully collapsed watting for the next cycle The Clean Alt Separator*1 In over two and one naff years (Instated Me September of 2002) of being In operation at our C.A.R.B test site In Sacramento has been evaluated rsc«etedr/to see If there ^ bladder or the space between the Inner wan of the vessel and outer wall of the bladder To date there has been no Iquid found in either area 18/19/2007 10:52 5624384836 ABT SERVICES PAGE 01/"83 File MH15389 Project 04NK04B80 July 20, 2004 REPORT on VAPOR RECOVERY SYSTEM ACCESSORIES, FLAMMABLE LIQUID Healy Syat«as, Inc. Hudson, HH - - •• - Copyright <D 2004 Underwriters Laboratories Inc. Underwriters Laboratories Inc. authorizes the above named company to reproduce this Report provided it ia reproduced in its entirety. 10/19/2807 10:52 5624384036 ABT SERVICES PAGE 02/03 File MH15389 Vol. 2 Sec. 12 Page 1 Issued: 2004-07-20and Report Revised: 2007-06-30 DESCRIPTION PRODOCT COVERED: DSL - Modal* 9961 *od 9961H Clean Ale Separators. GENERAL: *This device is for use with flammable liquid storage tanks and isintended to be connected in parallel with the existing pressure vacuum ventconnected to the tank. The bladder within the Model 9961 end 9961H isintended to expand and contract with the changing pressure within the storagetank to prevent the pressure vacuum vent from opening and releasing gasolinevapors. The bladder within the tank has not been evaluated by UnderwritersLaboratories for material compatibility requirements. The area around the AirBreather Assembly, Healy Part No. 9948 should be considered to have the samehazardous locations as that of tank vent. The performance characteristics of this device with regard to itsintended function have not been evaluated by Underwriters Laboratories. USL indicates evaluation to the Standard for Electrical Apparatus forExplosive Gas Atmospheres - Fart 1: Flameproof Enclosures *d", first edition;and the Standard for Steel Aboveground Tanks for Flammable and CombustibleLiquids, UL 142, eighth edition. SIZE AND INSTALLATION: All field connections are made through 1 inch HPT pipe fittings. The devices are intended for installation and use in accordance withNFPA 30, Flammable and Combustible Liquids Code and NFPA So. 30A, Code forMotor Fuel Dispensing facilities and Repair Garages. MARKING: Listee's name, model designation and the statement, "Only for use asspecified in the installation instructions." Marking material is R/C Markingand Labeling System (PGDQ2) that is suitable to the material to which It isaffixed and exposure to high humidity/ outdoors use, occasional splashing ofgasoline, -40C and +100C. B»*ly ubel and AflMB data plata(a) nay be alternatively placed on th* teak shell. INSTALLATION INSTRUCTIONS: *Each device is provided with the installation instructions shown inILL. A. Model 9961 ia Installed ae indicated in Fig. 1 and ILLS, 6 through 8. Hotel 99618 ia inirt*ll«d aa indicated in Fig. 2 and HAS. 9 through 12. 10/19/2887 18:52 5624384836 ABT SERVICES PAGE 03/83 File MH15389 Vol. 2 Sec. 12 Page 2 Issued: 2004-07-20 Report Revised: 2007-06-30 MODEL 9961 «B4 9961H - FIG. 1 6 2 General - Only those components specified below are provided. 9961 and 99C1H u*« identical ooapopent*. «be Model 99*1 is and the aodel 9961H i« installed borieoatally. 1. Tanfc - ASME Certified with a working pressure of 137 psi. Overall shaps and dimensions are as shown in ILL. 1 for Mod*l 9961 and ILL, 1A Sox ModsJ. 9961H. Provided with upper assembly as shown in ILL 2 and 2A 2. PV v«nt Valve - UL Listed, with pressure and vacuum ratings of +3" WC/- $" WC. 3. Ball Valves - 01 Listed, locking type, suitable for gasoline service. 4. Pad Locks - Four keyed alike, must fit item 3, ball valves. 5. Breather Assembly - See ILL. 3 for assembly. 6. Vapor Inlet Assembly - Se« ILL. 4 for assembly. 7. Float Check Valve -Healy Systems Model 9644G, see ILL. 5 for details. 8. Gasket - All gaskets are DL Listed and suitable for use with gasoline. 9. Pipe Joint Compounds - All pipe joint compounds are OL Classified and suitable for use with gasoline. 7050 Village Drive, Suite I BuenaPark,CA 90621 (714) 523-4235 Fax (714) 523-0194 Office April, 24 2008 To Whom It May Concern, I hereby authorize Juan Sandoval, Ahmad Ghaderi, Robert Valasco, Wilmar Vallecios & Jim Damitz of A& S Engineering., to pull permits for Fueling & Service Technologies, Inc. (FASTECH). Thank you, Christine Hawley Associate Vice Fueling & Service Technologies, Inc. 08-17-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plan Check Revision Permit No PCR08100 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title Applicant CHRIS GRIFFIN 714-321-1448 1145 CARLSBAD VILLAGE DR CBAD PCR 1561802600 Lot# $0 00 Construction Type CB081093 SHELL CHANGE IN PAD FOR HEALY TANK 0 NEW Status Applied Entered By Plan Approved Issued Inspect Area Owner ZANDER ARDIS P O BOX 222 NACOAZ 85620 EXPIRED^ ifttO/2008 JMA Plan Check Revision Fee Additional Fees $12000 $000 Total Fees $12000 Total Payments To Date $0 00 Balance Due $12000 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired City of Carlsbad Plan Check Revision No. \ Cl£, /Project Address // Ll•$ Ct<r\<> BADj —-- / -Contact Sfti/tJ< s&/tlFf//J Ph 7/</ Address Building Department Original Plan Check No Date 7 t APN ^Business at this address General Scope Original plans prepared by an architect bV engineer, revisions must be signed & stamped by that person. I Elements revised 0*CalculationsPlans -\x 2 Describe revisions in detail P/an C*//S £r 4 ~7^-7 &>nrriA/ /^ ^ - 1 / / ^ /v£ /\fc0~ frfl &?%e4#&<?SL </r?-5?'< Si ~/3 /0m - ^r/ P/lf) hj/'^L %_d&A. 7)C~7 ^ y /AJcJ^S rjrf/£}£ ^/ fad&r / A&I-/- t/s^A/<; £<// ^ZvLtw '&*{/ PAD La/-/?./ -to :7bc^t</<* f -f 3 List page(s) where each revision is shown r t 4 List revised sheets that replace existing sheets / Does this revision, in any way, alter the exterior of the project? [J Yes 6 Does this revision add ANY new floor areafsj? Q Yes 7 Does this revision affect any fire related issues? D Yes 8 Is this a complete serthat replaces tj^e-eingina^ permitted set? ^Signature 1635 Faradav^yefTue, Carl 92008 Phone 760-602>2718/2719/7541 Fax 760-602-8558 1635 Faraday Avenue, Carlsbad, CA 92008 Phone 760-602-2718/Fax 760-602-8558 FAX City of Carlsbad Building Department To Chuck Mendenhall Fax Phone Re Q Urgent Q Please Comment From Raenette Abbey Pages 2 Date 8/17/09 CC Q| For Review Q] Please Reply Comments: Hi Chuck, Per Mike Peterson, we have expired the enclosed revision plan check. Please destroy plans ^J£OJ^r^>fc,S>3"dDCff9rr ^03mr>7)Tl r>9r>TI I •HfTlTJ OBS^zgc>rnO 5r-si^il>m55C) =5T3 TI Z *oHS°oc s.